O endoguide - endodontia guiada: indicações e aplicabilidades clínicas.

Abstract

This paper discussed, based on a literature review, about Endoguide today and sought to elucidate the techniques, disadvantages and limitations of this technology. It was possible to point out that guided endodontics is a valuable tool for locating and negotiating obliterated root canals, which reduces chair time and the risk of iatrogenic damage to the tooth structure, in addition to being a simple technique that can be performed even by a less experienced professional. The technique has some disadvantages and limitations, such as the time spent necessary to acquire Conical Beam Computed Tomography (TCFC), intraoral scanning, virtual planning and printing, the additional cost and the increase in the radiation dose due to the TCFC. One of the limitations of the technique is the treatment of curved channels and posterior teeth. The use of the endoguide brings several applications that can help the surgeon to achieve an accurate and more predictable success in endodontics, such as more accurate diagnosis, treatment of teeth with complex anatomy. In addition, it can be used to remove fiberglass pins and in endodontic microsurgery, with good efficacy and providing the patient with a better prognosis for the treated tooth. It was concluded that the advent of the endoguide brings to endodontics an alternative treatment for the cases examined, a failure rate and achieving a better long-term prognosis for patients.